| NPI | 1073515086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01050984A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.077173) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2022-05-26 |